Public Inquiry Recommendations
Showing 6 of 1,839 recommendations from Hyponatraemia Inquiry
What these recommendations are about — Hyponatraemia Inquiry
Key themes in this inquiry:
Patient safety governance ·
Staff training and development ·
Quality and safety oversight ·
Duty of Candour implementation ·
Coroner family information gaps
.
Report published 2018 — 96 recommendations across this inquiry.
IHRD-2
Accepted in Part
Hyponatraemia Inquiry
(2018)
Criminal Liability for Candour Breach
Criminal liability should attach to breach of this duty and criminal liability should attach to obstruction of another in the performance of this duty.
- The Department of Health NI stated in March 2018 that criminal liability for breach of the duty of candour was under review (IHRD Implementation …
IHRD-3
Accepted in Part
Hyponatraemia Inquiry
(2018)
Guidance on Statutory Duty of Candour
Unequivocal guidance should be issued by the Department to all Trusts and their legal advisors detailing what is expected of Trusts in order to meet the statutory duty.
- The Department of Health NI stated in March 2018 that guidance was being developed in conjunction with the statutory duty of candour legislation (IHRD …
IHRD-4
Accepted in Part
Hyponatraemia Inquiry
(2018)
Trust Awareness of Duty of Candour
Trusts should ensure that all healthcare professionals are made fully aware of the importance, meaning and implications of the duty of candour and its critical role in the provision of …
- The Department of Health NI reported that work to raise awareness of the duty of candour among healthcare staff was being taken forward (IHRD …
IHRD-13
Accepted in Part
Hyponatraemia Inquiry
(2018)
Foundation Doctors in Children's Wards
Foundation doctors should not be employed in children's wards.
- HSC Trusts reported that care plans are available at each child's bedside for reference by parents and carers (IHRD Implementation Programme, Department of Health …
IHRD-34
Accepted in Part
Hyponatraemia Inquiry
(2018)
Independent SAI Investigation
The most serious adverse clinical incidents should be investigated by wholly independent investigators (i.e. an investigation unit from outside Northern Ireland) with authority to seize evidence and interview witnesses.
- The Department of Health NI stated in March 2018 that independent investigation arrangements had been strengthened (IHRD Implementation Programme, Department of Health NI, March …
IHRD-94
Accepted in Part
Hyponatraemia Inquiry
(2018)
Clinical Negligence Litigation Reform
The interests of patient safety must prevail over the interests engaged in clinical negligence litigation. Such litigation can become an obstacle to openness. A government committee should examine whether clinical …
- The Department of Health NI stated in March 2018 that this was under consideration (IHRD Implementation Programme, Department of Health NI, March 2018). - …